Left ventricle reconstruction and heartmate3 implantation. The "double patch technique". Issue 11 (19th September 2020)

• Record Type: Journal Article
• Authors: Piperata, Antonio; Kalscheuer, Gregory; Pernot, Mathieu; Albadi, Waleed; Metras, Alexandre; Peltan, Julien; Bottio, Tomaso; Gerosa, Gino; Labrousse, Louis; Barandon, Laurent
• Is Part Of: Journal of cardiac surgery. Volume 35:Issue 11(2020)
• Page Start: 3116
• Page End: 3119
• Publication Date: 2020-09-19
• Subjects: cardiovascular pathology -- cardiovascular research -- giant ventricular aneurysm; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.14913
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Background: HeartMate 3 is a left ventricular assist device, composed of a centrifugal pump. It can be applied as a myocardial recovery, a bridge to transplant, or a destination therapy, in the treatment of patients with left ventricular heart failure. Methods: Herein we describe a technique applied against a giant aneurysmal dilatation, which combines a surgical device implantation and a left ventricular reconstruction using a double patch. Results: The patch minimizes thrombotic risk thanks to its internal bovine pericardium layer, which is in contact with blood. Conclusions: The outlined technique is relatively reproducible and safe in a selected group of patients, as it employs a high‐quality device and enables the restoration of an appropriate ventricular geometry.